| Dr Vincent Paul Wilson, MD | |
|
201 N Breazeale Ave, Mount Olive, NC 28365-1603 | |
| (919) 658-4954 | |
| (919) 658-5754 |
| Full Name | Dr Vincent Paul Wilson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 201 N Breazeale Ave, Mount Olive, North Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609820463 | NPI | - | NPPES |
| 1609820463 | Other | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 70073 (Florida) | Secondary |
| 207Q00000X | Family Medicine | 2012-01585 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home | Goldsboro, NC | Home health agency |
| 3hc | Goldsboro, NC | Home health agency |
| Wayne Memorial Hospital | Goldsboro, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mt Olive Family Medicine Center Inc | 3870547227 | 10 |
| Entity Name | Mt Olive Family Medicine Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467481762 PECOS PAC ID: 3870547227 Enrollment ID: O20050310000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vincent Paul Wilson, MD 201 N Breazeale Ave, Mount Olive, NC 28365-1603 Ph: (919) 658-4954 | Dr Vincent Paul Wilson, MD 201 N Breazeale Ave, Mount Olive, NC 28365-1603 Ph: (919) 658-4954 |
Dr. Ellen Brubeck Brogden, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1140 N Breazeale Ave, Mount Olive, NC 28365 Phone: 919-299-4800 Fax: 919-299-4802 | |
Thomas Scott Draughon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 N Breazeale Ave, Mount Olive, NC 28365 Phone: 919-658-4954 Fax: 919-658-5754 |